University of Holy Cross
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RN to BSN Online Application Form

UNIVERSITY OF HOLY CROSS
DEPARTMENT OF NURSING
APPLICATION FOR ADMISSION
RN to BSN PROGRAM

 ***Please complete all fields, insert n/a in fields that do not apply***

DIRECTIONS: Fill in all applicable fields. Answer all questions. Incorrect or incomplete information will delay processing of this application. Contents of this application are considered confidential and will be available only to authorized person

 

Summer

Requested year
of admission: *
Prefix: * Mrs


Middile Initial:

Maiden Name

Permanent Address
(number & Street, City State and Zip): *
Apt:
Mailing Address
(number & Street, City State and Zip): *
Apt:


Cell Phone Number
Race: Gender: Birthdate: *



Religion:

Previous Education: List every University or College you have ever attended. Begin with your current school first. Include: Institution Name, Dates of Attendance, Major Area of Study, Degree or Diploma. *

Employment History (most recent first): Include Institution and Address, Dates of Employment, Position and Reason for Leaving.*



RN License State

Have you ever before made application to the UHC Department of Nursing? :
If 'Yes' to previous question, give date of previous application to the UHC Department of Nursing:

Are you currently enrolled at UHC?

If you are not a student at UHC, are you enrolled at another college? If so, where?

List any pre-requisite courses you are currently enrolled in or will enroll in prior to entry into the RN to BSN Program. Indicate the semester and year, then list courses



If you are not a student at UHC, have you applied and been accepted to UHC? (If not, applicant must apply to UHC before Application for Admission to the Department of Nursing can be processed.)

List any Honors, Awards, Scholarships/community involvement.



DIRECTIONS: In the space below, compose a personal statement explaining why you wish to pursue a BSN degree at UHC. *

By entering the date and my name in the box below, I HEREBY CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION IS TRUE AND COMPLETE. **


OLHCC

4123 Woodland Drive, New Orleans, LA 70131 (504) 394-7744 or 1-800-259-7744

A Ministry of the Marianites of Holy Cross: Educating Hearts and Minds

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